| NPI | 1144988452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC011689) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PA AJ011311) |
| Enumeration Date | 2021-12-03 |
| Last Update Date | 2021-12-03 |